By Dr. Jayanti Kamat, Gynaecology
Infertility is a condition wherein one fails to get pregnant, despite having properly timed and unprotected sexual intercourse for over a year. If blood tests or other diagnostic tests cannot deduce the factors behind infertility, the doctor may prescribe a combination of surgical tests for the diagnosis and treatment of the problem.
Hysteroscopy helps the doctor view the interior portion of the uterus while laparoscopy, on the other hand, helps examine the external part of the uterus, fallopian tubes and the ovaries.
Hysterolaparoscopy and Infertility-
Hysterolaparoscopy, being a diagnostic method, is fundamentally employed to probe into the causes which might be triggering female infertility and hindering pregnancy, for instance factors such as blocked fallopian tubes or a scar tissue. The procedure involves a thorough examination of the uterus, fallopian tubes and ovaries. During the process, the patient is administered general anesthesia.
Hysteroscope, a narrow fiber optic instrument is inserted into the cervix. It is accompanied by laparoscopy wherein a harmless gas is injected into the abdomen, with the help of a needle. The gas raises the abdominal wall, allowing the doctor a clear view of the reproductive organs. Once the abdomen is bloated, the needle is removed followed by the insertion of a laparoscope. This creates another tiny incision on the abdomen, wherein a grasper would be fitted to allow easy access to the reproductive organs. In case of endometriosis (a condition marked by the growth of endometrial tissue on the outer part of the womb resulting in pelvic pain), it is treated with electrocautery or lasers. Scar tissues are cut out using scissors.
Infection is not seen in every patient there are many diseases which can be diagnosed and cured by hysterolaparascopy like uterine septum, fibroid, few types of tubal block, etc.
Once the reasons behind infertility have been established with the help of this process, treatments could be administered in the same session in the form of a surgery. The method may take a day for completion. However, it is not devoid of side-effects such as vaginal discharge, redness surrounding the incision, fever, swelling, and infection and weakness that may persist for a few days following this procedure.